Stephanie Mullins
Individual provider Active NPI Clinical Social Worker · Hill Afb, UT
NPI 1215467964 · NPPES record last updated Aug 31, 2020
Key facts
- NPI
- 1215467964
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- SW15360 (FL)
- Practice address
- 7321 Balmer St BLDG 570
Hill Afb, UT 84056-5012 - Phone
- (801) 777-7909
- NPI assigned
- Jun 15, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW15360 | FL | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW15360 | FL | Yes |
Addresses
Primary practice location
7321 Balmer St BLDG 570
Hill Afb, UT 84056-5012
Mailing address
7321 Balmer St BLDG 570
Hill Afb, UT 84056-5012
Other providers in Hill Afb, UT
- Shelby Maryann Moderow
- Thomas Glennon Moore
- Paula Morse
- Patricia Mottram
- Rhett Hanford Mullins
- Melanie Lynn Nelson
- Abigail Nuestro
- Haley O'Connor
- Taylor A Olpin
- Rebecca Kathryn Padberg
All providers in Hill Afb, UT · Clinical Social Worker in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.